# GRAND CENTRAL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAND CENTRAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770617185
- **Authorized official:** MICHELLE FUCHS PHARMACICST (OWNER)
- **Authorized official phone:** (516) 295-8880

## Contact information

- **Practice address:** 420 CENTRAL AVE, CEDARHURST, NY 11516-1907
- **Practice address phone:** (516) 295-8880
- **Practice address fax:** (516) 295-8879
- **Mailing address:** 420 CENTRAL AVE, CEDARHURST, NY 11516-1907
- **Mailing address phone:** (516) 295-8880
- **Mailing address fax:** (516) 295-8879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026735 | NY | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02590738 | — | NY |